| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1114344058 | HERZOG | THIEBAUT | THOMAS | 2801 N GANTENBEIN AVE | PORTLAND | OR | 972271623 | |
| 1487097861 | IVERSON | ARIJA | I | 2801 N GANTENBEIN AVE | PORTLAND | OR | 972271623 | |
| 1184160871 | KARAM | SHAZA | 300 N GRAHAM ST STE 420 | PORTLAND | OR | 972271667 | ||
| 1568892941 | SNYDER | AMY | R. | 2801 N GANTENBEIN AVE | PORTLAND | OR | 972271623 |